The tubular basement membrane (TBM) (i.e. tubular basal lamina) of rat kidney was shown to be a fine meshwork by electron microscopy after negative staining. Strands of the meshwork formed a regular three dimensional lattice work. The pores of the meshwork were polygonal. There were two main pore sizes: one approximately 30 A in diameter, the other 42--60 A. In view of our previous observation that glomerular and alveolar basement membranes were made up fine meshwork, it is quite possible that the basement membranes of other organs are also made up such fine meshwork.
en-copyright= kn-copyright= en-aut-name=MakinoHirofumi en-aut-sei=Makino en-aut-mei=Hirofumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OtaZensuke en-aut-sei=Ota en-aut-mei=Zensuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=TakayaYasumasa en-aut-sei=Takaya en-aut-mei=Yasumasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KidaKeiko en-aut-sei=Kida en-aut-mei=Keiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MiyoshiAkira en-aut-sei=Miyoshi en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=HiramatsuMakoto en-aut-sei=Hiramatsu en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=OfujiTadashi en-aut-sei=Ofuji en-aut-mei=Tadashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama University affil-num=5 en-affil= kn-affil=Okayama University affil-num=6 en-affil= kn-affil=Okayama University affil-num=7 en-affil= kn-affil=Okayama University affil-num=8 en-affil= kn-affil=Okayama University en-keyword=renal tubular basement membrane kn-keyword=renal tubular basement membrane en-keyword=mesh work structure kn-keyword=mesh work structure en-keyword=pore kn-keyword=pore en-keyword=negative staining kn-keyword=negative staining en-keyword=electron micro scopy kn-keyword=electron micro scopy END start-ver=1.4 cd-journal=joma no-vol=33 cd-vols= no-issue=4 article-no= start-page=305 end-page=314 dt-received= dt-revised= dt-accepted= dt-pub-year=1979 dt-pub=197908 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Bartter's Syndrome ? Case Report ? en-subtitle= kn-subtitle= en-abstract= kn-abstract=A 26-year-old female with Bartter's syndrome associated with Graves' disease is reported. This patient had a history of Graves' disease from the age of 22 and anti-thyroid drug (Methimazole) had been administered for 2 years. Thyroid function returned to normal but general fatigue and polyuria continued. Hypokalemia was diagnosed at 25 years of age and she was referred to our hospital for evaluation. Blood pressure was normal and laboratory data revealed normal thyroid function, hypokalemic alkalosis, high plasma renin activity and high plasma aldosterone concentration. She showed normal pressor sensitivity to norepinephrine infusion, grossly diminished pressor sensitivity to exogenous angiotensin II infusion compared with the normal. A renal biopsy specimen showed juxtaglomerular cell hyperplasia. Electron microscopy confirmed lacis cell (agranular cell) proliferation.
en-copyright= kn-copyright= en-aut-name=MiyoshiAkira en-aut-sei=Miyoshi en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MakinoHirofumi en-aut-sei=Makino en-aut-mei=Hirofumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=HiramatsuMakoto en-aut-sei=Hiramatsu en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=YamaneYukio en-aut-sei=Yamane en-aut-mei=Yukio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=TakaharaJiro en-aut-sei=Takahara en-aut-mei=Jiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=SuzukiShinya en-aut-sei=Suzuki en-aut-mei=Shinya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=OtaZensuke en-aut-sei=Ota en-aut-mei=Zensuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=OfujiTadashi en-aut-sei=Ofuji en-aut-mei=Tadashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=TakehisaYoshiaki en-aut-sei=Takehisa en-aut-mei=Yoshiaki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama University affil-num=5 en-affil= kn-affil=Okayama University affil-num=6 en-affil= kn-affil=Okayama University affil-num=7 en-affil= kn-affil=Okayama University affil-num=8 en-affil= kn-affil=Okayama University affil-num=9 en-affil= kn-affil=Okayama University affil-num=10 en-affil= kn-affil=Tottori City Hospital en-keyword=Bartter's syndrome kn-keyword=Bartter's syndrome en-keyword=juxtaglomerular cell hyperplasia kn-keyword=juxtaglomerular cell hyperplasia en-keyword=secondary aldosteronism kn-keyword=secondary aldosteronism en-keyword=plasma renin activity kn-keyword=plasma renin activity END start-ver=1.4 cd-journal=joma no-vol=41 cd-vols= no-issue=4 article-no= start-page=183 end-page=185 dt-received= dt-revised= dt-accepted= dt-pub-year=1987 dt-pub=198708 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Fibrillar ultrastructure of the glomerular basement membrane of the rat kidney as revealed by digestive treatment. en-subtitle= kn-subtitle= en-abstract= kn-abstract=Rat kidney glomerular basement membrane (GBM) was isolated and digested with alpha-amylase and elastase. Electron microscopy revealed a meshwork structure composed of fibrils 3 nm in width. They appeared to be type IV collagen fibrils. We succeeded in clarifying a significant ultrastructural aspect of the GBM which had been unclear until now. The findings are consistent with our previously proposed GBM molecular sieve theory.
en-copyright= kn-copyright= en-aut-name=IchiyasuAkira en-aut-sei=Ichiyasu en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TakaokaMichio en-aut-sei=Takaoka en-aut-mei=Michio kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MakinoHirofumi en-aut-sei=Makino en-aut-mei=Hirofumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=OtaZensuke en-aut-sei=Ota en-aut-mei=Zensuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama University affil-num=5 en-affil= kn-affil=Okayama University en-keyword=type IV collagen kn-keyword=type IV collagen en-keyword=glomerular basement membrane kn-keyword=glomerular basement membrane en-keyword=enzymatic digestion kn-keyword=enzymatic digestion en-keyword=fibrillar ultrastructure kn-keyword=fibrillar ultrastructure END start-ver=1.4 cd-journal=joma no-vol=56 cd-vols= no-issue=5 article-no= start-page=255 end-page=260 dt-received= dt-revised= dt-accepted= dt-pub-year=2002 dt-pub=200210 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Obesity and the risk of diabetes mellitus in middle-aged Japanese men. en-subtitle= kn-subtitle= en-abstract= kn-abstract=The morbidity of diabetes mellitus is increasing gradually in Japanese populations. It is important to clarify the risk factors of diabetes in Japanese populations in order to take adequate measures against the increasing morbidity of diabetes. In order to evaluate the link between past and concurrent obesity and diabetes in middle-aged Japanese men, we conducted a worksite-based historical cohort study in Okayama, Japan in 1999. Annual health examination data of middle-aged male workers in a worksite were collected. The relative risks of past and concurrent obesity for developing diabetes were calculated. Subjects with a past history of obesity at between 40 and 50 years of age had a significantly higher risk of developing diabetes by age 55 than did subjects in the normal weight group. These results suggest that, in order to prevent diabetes in middle-aged Japanese men, health guidance for normal weight maintenance should be provided not only for middle-aged men, but also for men under age 40.
en-copyright= kn-copyright= en-aut-name=SekiAkihiko en-aut-sei=Seki en-aut-mei=Akihiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TakigawaTomoko en-aut-sei=Takigawa en-aut-mei=Tomoko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=ItoTakehiko en-aut-sei=Ito en-aut-mei=Takehiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=FukuokaEtsuko en-aut-sei=Fukuoka en-aut-mei=Etsuko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=KiraShohei en-aut-sei=Kira en-aut-mei=Shohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama Health Care Center affil-num=5 en-affil= kn-affil=Okayama University affil-num=6 en-affil= kn-affil=Okayama University en-keyword=obesity kn-keyword=obesity en-keyword=body mass index kn-keyword=body mass index en-keyword=diabetes mellitus kn-keyword=diabetes mellitus en-keyword=cohort study kn-keyword=cohort study END start-ver=1.4 cd-journal=joma no-vol=31 cd-vols= no-issue=5 article-no= start-page=339 end-page=342 dt-received= dt-revised= dt-accepted= dt-pub-year=1977 dt-pub=197710 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Electron microscopic demonstration of meshwork structure in human and bovine glomerular basement membranes en-subtitle= kn-subtitle= en-abstract= kn-abstract=With the electron microscopic and the negative staining method, the glomerular basement membrane of human and bovine kidneys was shown to have a definite fine meshwork structure. The pores of the meshwork of bovine glomerular basement membrane appeared to be pentagonal or hexagonal in shape. Strands of the meshwork branched three-dimensionally and made up the whole basement membrane. The portion of the sgrand between two neighboring branches was presumed to be a structural unit of the basement membrane. Glomerular basement membrane in man showed a structure similar to that seen in cattle, although the pore size of the meshwork was smaller in man than in cattle.
en-copyright= kn-copyright= en-aut-name=OtaZensuke en-aut-sei=Ota en-aut-mei=Zensuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MakinoHirofumi en-aut-sei=Makino en-aut-mei=Hirofumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MiyoshiAkira en-aut-sei=Miyoshi en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HiramatsuMakoto en-aut-sei=Hiramatsu en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=OfujiTadashi en-aut-sei=Ofuji en-aut-mei=Tadashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama University affil-num=5 en-affil= kn-affil=Okayama University affil-num=6 en-affil= kn-affil=Okayama University END start-ver=1.4 cd-journal=joma no-vol=60 cd-vols= no-issue=2 article-no= start-page=99 end-page=106 dt-received= dt-revised= dt-accepted= dt-pub-year=2006 dt-pub=200604 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Assessment of total and segmental body composition in spinal cord-injured athletes in okayama prefecture of Japan. en-subtitle= kn-subtitle= en-abstract= kn-abstract=This study assessed total and segmental distribution of fat mass (FM) in athletes with spinal cord injury (SCI) and examined the relationships between segmental distribution of fat mass and age, injury level, athletic history, and training load in order to provide useful information for improvements in their physical strength and training. Twenty-five male athletes with SCI participated in the study. The whole bone composition was measured by a dual-energy X-ray absorptiometry (DXA) method for the calculation of bone minerals, FM, and fat-free mass. The percent fat of the trunk, arms, and legs was also calculated. The percent fat in the legs was highest in comparison with that in the trunk and arms (p < 0.001), and the percent fat in the trunk was higher than that in the arms (p < 0.001). The body fat (p < 0.01), waist circumference (p < 0.01), and waist-to-hip ratio (p < 0.0001) were higher in the group aged 40 or older in comparison with that aged 39 or younger. Path analysis revealed that training load was a factor decreasing the percent fat on the arms and trunk (p < 0.01), and athletic history was a factor reducing the percent fat on the arms (p < 0.05). Our study suggests that exercise is effective in reducing the waist circumference, waist-to-hip ratio, and percent body fat of SCI individuals, and that such effects can help to enhance athletic performance and likely to protect against development of metabolic syndromes resulting from a sedentary lifestyle.
en-copyright= kn-copyright= en-aut-name=InukaiYoshihide en-aut-sei=Inukai en-aut-mei=Yoshihide kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=WangDa-Hong en-aut-sei=Wang en-aut-mei=Da-Hong kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KiraShohei en-aut-sei=Kira en-aut-mei=Shohei kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama University en-keyword=body composition kn-keyword=body composition en-keyword=percentage of fat kn-keyword=percentage of fat en-keyword=DXA kn-keyword=DXA en-keyword=spinal cord-injured athletes kn-keyword=spinal cord-injured athletes en-keyword=path analysis kn-keyword=path analysis END start-ver=1.4 cd-journal=joma no-vol=34 cd-vols= no-issue=1 article-no= start-page=67 end-page=70 dt-received= dt-revised= dt-accepted= dt-pub-year=1980 dt-pub=198002 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Changes in the molecular sieve of glomerular basement membrane in rats with aminonucleoside nephrosis. en-subtitle= kn-subtitle= en-abstract= kn-abstract=Isolated and purified glomerular basement membranes (GBM) of normal and aminonucleoside (PAN) nephrosis rats were observed by electron microscopy after negative staining. Although GBM of normal rats appeared as a molecular sieve with uniform pores, GBM of nephrotic rats showed enlargement and elongation of the pores. For an average of fifty pores, the long dimension was 40.4+/-10.7 A and the short dimension 13.8+/-3.6 A in nephrosis whereas the long dimension was 12.3+/-2.5 A and the short dimension 8.4+/-1.0 A in normal rats. Changes in the pores in GBM were thought to result in increased permeability of serum protein and hence proteinuria. en-copyright= kn-copyright= en-aut-name=TakayaYasumasa en-aut-sei=Takaya en-aut-mei=Yasumasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=OtaZensuke en-aut-sei=Ota en-aut-mei=Zensuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MakinoHirofumi en-aut-sei=Makino en-aut-mei=Hirofumi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=KidaKeiko en-aut-sei=Kida en-aut-mei=Keiko kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=MiyoshiAkira en-aut-sei=Miyoshi en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=HiramatsuMakoto en-aut-sei=Hiramatsu en-aut-mei=Makoto kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=OfujiTadashi en-aut-sei=Ofuji en-aut-mei=Tadashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil= kn-affil=Okayama University affil-num=2 en-affil= kn-affil=Okayama University affil-num=3 en-affil= kn-affil=Okayama University affil-num=4 en-affil= kn-affil=Okayama University affil-num=5 en-affil= kn-affil=Okayama University affil-num=6 en-affil= kn-affil=Okayama University affil-num=7 en-affil= kn-affil=Okayama University affil-num=8 en-affil= kn-affil=Okayama University en-keyword=gromerular basement membranc kn-keyword=gromerular basement membranc en-keyword=aminonucleoside nephrosis kn-keyword=aminonucleoside nephrosis en-keyword=negative staining. kn-keyword=negative staining. END start-ver=1.4 cd-journal=joma no-vol=95 cd-vols= no-issue=9-10 article-no= start-page=1003 end-page=1016 dt-received= dt-revised= dt-accepted= dt-pub-year=1983 dt-pub=19831030 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Studies on anticomplementary activity in primary glomerular disease. kn-title=原発性腎疾患における抗補体活性の検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract=The anticomplementary activity (ACA) of the sera of 81 patients with primary glomerular disease was studied. ACA was mesured by a complement consumption test, and the ACA of alternaive pathway was measured by a homolysis inhibition test, using rabbit red blood cells in EGTA buffer. In acute glomerulonephritis, the ACA of the sera with high levels of antistreptokinase and γ-globulin was significantly higher than that of the sera with low levels. The ACA of the sera of sclerosing glomerulonephritis patients was significantly higher than that of the sera of patients in other histlogical categories based on light microscpy. There were no relationships between immunofluorescence findings in the glomerulus and the ACA of the sera of patients with primary glomerular disease. In chronic glomerulonephritis, the ACA of the sera correlated with the levels of BUN, S-creatinine, PSP (15 min.) and Ccr significantly (p<0.001). The sera from uremic patients showed predominantly high ACA and contained heat stable factors (m.w.; more than 25000 daltons) witch were able to activate the classical complement pathway. There observations suggested that the anticomplementary factors in acute glomerulonephritis might be immune complexes and those in uremia might be unknown uremic toxins. en-copyright= kn-copyright= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部第三内科学教室 en-keyword=糸球体腎炎 kn-keyword=糸球体腎炎 en-keyword=腎不全 kn-keyword=腎不全 en-keyword=尿毒物質 kn-keyword=尿毒物質 en-keyword=補体 kn-keyword=補体 en-keyword=抗補体活性 kn-keyword=抗補体活性 END start-ver=1.4 cd-journal=joma no-vol=9 cd-vols= no-issue=1 article-no= start-page=23 end-page=31 dt-received= dt-revised= dt-accepted= dt-pub-year=1998 dt-pub=19980930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Present status of home health nursing in a Japanese hospital-based home health care agency kn-title=在宅看護における訪問看護内容の検討 ―病院を基盤とする訪問看護ステーションの事例調査― en-subtitle= kn-subtitle= en-abstract=We investigated the present status of home health nursing in a Japanese hospital-based home health care agency, to clarify present problems in home health nursing and to assess the roles of home health nurses. Based on our results, ADL of care recipients who lived alone were clearly independent compared with care recipients who lived with family care-givers. The level of ADL of both care recipients who lived with their spouses and those who lived with more than 2 family members were not different. It indicates that aged family care-givers assume great responsibility. In cases of bedridden recipients,daily life care was performed at a high rate, but mental care or teaching care was performed at a low rate. Home health nurses should focus on primary preventive care, mental care for recipients and care-givers, and teaching care or management of a care plan. kn-abstract=病院を基盤とした在宅看護提供機関における在宅看護の現状を調査し,在宅看護の現在の問題点を明らかにするとともに,在宅看護に携わる看護婦の役割について検討した｡本調査の結果,一人暮らしの患者は,家族に介護者のいる患者に比べ明らかにADLが高い場合も訪問看護を受けていることが分かった｡また,高齢者夫婦二人暮らしの患者と2世代以上家族の患者のADLに差はなく,このことは,高齢の介護者に相当の負担がかかっていると言える｡訪問看護内容としては, 日常生活自立度の低い患者への日常生活援助の実施率は高く,精神的支援や指導的看護技術の実施率は低かった｡在宅看護に携わる看護婦は, 日常生活援助に追われがちであるが,一次予防に焦点を当てたケア,患者や介護者の精神的支援,指導,ケアマネジメントを行うことは緊急の課題である｡ en-copyright= kn-copyright= en-aut-name=SatoYoshie en-aut-sei=Sato en-aut-mei=Yoshie kn-aut-name=佐藤美恵 kn-aut-sei=佐藤 kn-aut-mei=美恵 aut-affil-num=1 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=3 ORCID= en-aut-name=MatsuedaMutsumi en-aut-sei=Matsueda en-aut-mei=Mutsumi kn-aut-name=松枝睦美 kn-aut-sei=松枝 kn-aut-mei=睦美 aut-affil-num=4 ORCID= en-aut-name=YanagawaKanou en-aut-sei=Yanagawa en-aut-mei=Kanou kn-aut-name=柳川協 kn-aut-sei=柳川 kn-aut-mei=協 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学教育学部 affil-num=3 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=4 en-affil= kn-affil=岡山大学大学院教育学研究科 affil-num=5 en-affil= kn-affil=岡山大学教育学部 en-keyword=訪問看護 (home health nursing) kn-keyword=訪問看護 (home health nursing) en-keyword=看護内容 (nursing care) kn-keyword=看護内容 (nursing care) en-keyword=看護婦 (nurse) kn-keyword=看護婦 (nurse) END start-ver=1.4 cd-journal=joma no-vol=108 cd-vols= no-issue=7-8 article-no= start-page=275 end-page=280 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=19960831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Co-operative team care for home care nursing kn-title=訪問看護におけるチームケアの取り組み en-subtitle= kn-subtitle= en-abstract= kn-abstract=The process of establishing a network between several professions involved in the home care nursing system is reported. This system gave satisfactory support to patients in their home. The frequency of visits by occupational therapists was 45%, 44% for case workers, 44% for visiting nurses from our hospital, 7% for pharmacists, and 3% for dieticians other than doctors and community nurses. For patients residing outside the Okayama Central Hospital areas, the frequency of visits by assistants was 13%, 7% for day care units, and 6% for public health nurses other than doctors and community nurses. Co-operative involvement in the care management of patients was beneficial to the home care nursing system because the needs of patients could be more easily met by members of different professions and opinions from different perspectives improved the quality of patient care. The quality of care management was evaluated and two cases are described. en-copyright= kn-copyright= en-aut-name=TakaiKenichi en-aut-sei=Takai en-aut-mei=Kenichi kn-aut-name=高井研一 kn-aut-sei=高井 kn-aut-mei=研一 aut-affil-num=1 ORCID= en-aut-name=OhtaSachiko en-aut-sei=Ohta en-aut-mei=Sachiko kn-aut-name=大田祥子 kn-aut-sei=大田 kn-aut-mei=祥子 aut-affil-num=2 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田俊子 kn-aut-sei=池田 kn-aut-mei=俊子 aut-affil-num=3 ORCID= en-aut-name=MiyasatoMisa en-aut-sei=Miyasato en-aut-mei=Misa kn-aut-name=宮里美佐 kn-aut-sei=宮里 kn-aut-mei=美佐 aut-affil-num=4 ORCID= en-aut-name=KaneshigeTetzuzo en-aut-sei=Kaneshige en-aut-mei=Tetzuzo kn-aut-name=金重哲三 kn-aut-sei=金重 kn-aut-mei=哲三 aut-affil-num=5 ORCID= en-aut-name=KawaiTakako en-aut-sei=Kawai en-aut-mei=Takako kn-aut-name=川合貴子 kn-aut-sei=川合 kn-aut-mei=貴子 aut-affil-num=6 ORCID= en-aut-name=HarutaYasumi en-aut-sei=Haruta en-aut-mei=Yasumi kn-aut-name=春田康美 kn-aut-sei=春田 kn-aut-mei=康美 aut-affil-num=7 ORCID= en-aut-name=KitanosakoHarumi en-aut-sei=Kitanosako en-aut-mei=Harumi kn-aut-name=北之迫晴美 kn-aut-sei=北之迫 kn-aut-mei=晴美 aut-affil-num=8 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=9 ORCID= affil-num=1 en-affil= kn-affil=岡山中央病院内科 affil-num=2 en-affil= kn-affil=岡山中央病院内科 affil-num=3 en-affil= kn-affil=岡山中央病院在宅医療科 affil-num=4 en-affil= kn-affil=岡山中央病院在宅医療科 affil-num=5 en-affil= kn-affil=岡山中央病院泌尿器科 affil-num=6 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=7 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=8 en-affil= kn-affil=訪問看護ステーション鴻仁 affil-num=9 en-affil= kn-affil=岡山大学教育学部養護教諭養成課程 en-keyword=在宅医療 kn-keyword=在宅医療 en-keyword=チームケア kn-keyword=チームケア en-keyword=ケアマネジメント kn-keyword=ケアマネジメント en-keyword=訪問看護 kn-keyword=訪問看護 END start-ver=1.4 cd-journal=joma no-vol=7 cd-vols= no-issue=1 article-no= start-page=59 end-page=66 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=19960930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Daily physical activity in patients with chronic glomerulonephritis kn-title=腎炎患者の日常生活活動強度 en-subtitle= kn-subtitle= en-abstract=We examined the intensity of daily physical activityand cardiorespiratory endurance in 7 patients with chronic glomerulonephritis between 20 and 61 years old. To determine the intensity of daily physical activity, the 24-hour heart rate was measured. To evaluate cardiorespiratory endurance, ventilatory threshold oxygen uptake (VT) was measured. VT of each patient was presented as the percentage of the value in sex and age-matched healthy subjects (% VT). The mean % VT was 93.4±18.6% lower than that in the healthy subjects. The mean 24-hour heart rate was 82±8 beats/min. The heart rate over the VT in 24-hour heart rate was at most 2%. In conclusion, metabolism was aerobic in the greater part of their daily lives. kn-abstract=腎炎患者の日常生活活動強度と持久性体力を明らかにするため、本研究を行った。被検者は20歳から61歳の腎炎患者7名である。日常生活活動強度の指標として、連続心拍計を用いて24時間心拍数を測定した。また、持久性体力を評価するため、換気性閾値（Ventilatory Threshold : VT）を測定した。各被験者のVTは、同性、同年齢の健常者の値に対する相対値（％VT）で評価した。被検者の％VTの平均は、93.4±18.6％で、健常者に比べて低下していた。24時間心拍数の平均は、82±8拍／分であった。24時間心拍数のうち、VT時の心拍数を越えるものは、多くても2％でしかなく、腎炎患者の日常生活の大部分は、有酸素運動であった。 en-copyright= kn-copyright= en-aut-name=SatoYoshie en-aut-sei=Sato en-aut-mei=Yoshie kn-aut-name=佐藤美恵 kn-aut-sei=佐藤 kn-aut-mei=美恵 aut-affil-num=1 ORCID= en-aut-name=TakahashiKayo en-aut-sei=Takahashi en-aut-mei=Kayo kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=2 ORCID= en-aut-name=SuzukiHisao en-aut-sei=Suzuki en-aut-mei=Hisao kn-aut-name=鈴木久雄 kn-aut-sei=鈴木 kn-aut-mei=久雄 aut-affil-num=3 ORCID= en-aut-name=IkedaToshiko en-aut-sei=Ikeda en-aut-mei=Toshiko kn-aut-name=池田敏子 kn-aut-sei=池田 kn-aut-mei=敏子 aut-affil-num=4 ORCID= en-aut-name=KondoMasuko en-aut-sei=Kondo en-aut-mei=Masuko kn-aut-name=近藤益子 kn-aut-sei=近藤 kn-aut-mei=益子 aut-affil-num=5 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=2 en-affil= kn-affil=岡山大学教育学部 affil-num=3 en-affil= kn-affil=岡山大学教育学部 affil-num=4 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 affil-num=5 en-affil= kn-affil=岡山大学医療技術短期大学部看護学科 en-keyword=腎炎 (glomerulonephritis) kn-keyword=腎炎 (glomerulonephritis) en-keyword=日常生活 (daily physical activity) kn-keyword=日常生活 (daily physical activity) en-keyword=心拍数 (heart rate) kn-keyword=心拍数 (heart rate) en-keyword=運動 (physical fitness) kn-keyword=運動 (physical fitness) en-keyword=換気性閾値 (ventilatory threshold) kn-keyword=換気性閾値 (ventilatory threshold) END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=1983 dt-pub=19830930 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=原発性腎疾患における抗補体活性の検討 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=高橋香代 kn-aut-sei=高橋 kn-aut-mei=香代 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END